Distance Education to Engage Alaskan Community Health Aides in Cancer Control

描述(由申请者提供)：远程教育聘请阿拉斯加的社区健康助手参与癌症控制符合PAR-12-049支持创新教育计划的目的，以减轻癌症负担并提高癌症患者的生活质量。癌症是阿拉斯加原住民的主要死亡原因，与其他美国人口相比，阿拉斯加原住民的癌症发病率和死亡率更高。超过一半的阿拉斯加原住民生活在178个没有道路系统的农村社区，并接受阿拉斯加经过专门培训的驻村社区卫生助理和社区卫生从业者的护理。在社区层面为CHA/P提供及时、医学上准确的癌症教育是改善癌症控制的关键组成部分。配备了文化尊重的远程癌症教育，CHA/PS将处于一个理想的位置，支持社区成员修改行为风险因素，倡导和安排适当的筛查检查，并识别癌症预警迹象，以便转介患者进行早期诊断和治疗。成人学习理论、本土知识和大众教育的原理将为11个异步学习模块的开发提供信息，这些模块将在CHAP网站上提供，任何人都可以增加他们的癌症知识，并被纳入12周的远程学习课程。作为每周1.5小时同步学习部分的一部分，参与者将综合和应用他们的癌症知识，以数字故事的形式创建2-3分钟的个人癌症相关健康信息，以支持社区外展工作。开发、实施和评估这一多维互动在线学习课程的动态过程是由癌症教育的社会文化方法提供信息的。在这种方法中，文化价值观、信仰和行为被确认为具有智慧和韧性的地方，并在此基础上为健康信息提供背景和意义。我们的目标是：与阿拉斯加原住民一起为阿拉斯加原住民开发一个尊重文化的远程学习模式。2：为阿拉斯加的CHA/P创建一个在线癌症教育课程，以面对面的“了解癌症”课程为基础。3：通过远程学习，与阿拉斯加的CHA/P一起提供尊重文化的癌症教育课程。4：评估在线癌症教育以及参与如何影响CHA/P的癌症知识、态度和行为。使用混合方法，评估数据将在课前需求评估、课后书面评估、2-3个月的课程后访谈和5-6个月的互联网调查中收集。结果测量将评估计算机熟悉度、谈论癌症的舒适度、癌症知识、态度以及自己、家人和患者护理实践中的癌症风险降低行为。与CHA/P一起开发并为CHA/P提供尊重文化的远程教育，有可能成为一种具有成本效益和可持续的途径，传播急需的癌症信息，以减轻阿拉斯加原住民中的癌症负担。

DESCRIPTION (provided by applicant): Distance Education to Engage Alaska's Community Health Aides in Cancer Control is consistent with the purpose of PAR-12-049 to support innovative education programs that reduce the burden of cancer and improve the quality of life of cancer patients. Cancer is the leading cause of death among Alaska Native people who suffer greater cancer incidence and mortality rates compared to other U.S. populations. Over half of Alaska Native people live in 178 rural communities not on a road system and receive care from Alaska's specially trained, village-based Community Health Aides and Community Health Practitioners (CHA/Ps). Providing CHA/Ps with timely, medically-accurate, cancer education at the community level is a critical component in improving cancer control. Equipped with culturally respectful distance delivered cancer education, CHA/Ps will be in an ideal position to support community members to modify behavioral risk factors, advocate for and schedule appropriate screening exams, and identify cancer warning signs so as to refer patients for early diagnosis and treatment. Principles of adult learning theory, Indigenous knowledge, and Popular Education will inform the development of 11 asynchronous learning modules which will be available on the CHAP website for anyone to increase their cancer knowledge as well as be included in the 12 week distance learning course. As part of the 1.5 hour weekly synchronous learning portion participants will synthesize and apply their cancer knowledge to create a 2-3 minute personal cancer-related health message in the form of a digital story to support community outreach efforts. The dynamic process of developing, implementing, and evaluating this multidimensional interactive online learning course is informed by a socio- cultural approach to cancer education. Within this approach, cultural values, beliefs and behaviors are affirmed as a place of wisdom and resilience, and built upon to provide context and meaning for health information. Our Aims are 1: Develop a model for culturally respectful distance learning with and for Alaska Native people. 2: Create an online cancer education course for Alaska's CHA/Ps based upon the in-person 'Understanding Cancer' curriculum. 3: Deliver a culturally respectful cancer education course with Alaska's CHA/Ps through distance learning. and 4: Evaluate online cancer education and how participation affects CHA/Ps' cancer knowledge, attitudes, and behaviors. Using a mixed methods approach evaluation data will be collected during a precourse needs assessment, end-of-course written evaluation, 2-3 month post course interview, and 5-6 month internet survey. Outcome measures will assess computer familiarity, comfort with talking about cancer, cancer knowledge, attitudes, and cancer risk reduction behaviors for self, with family, and in patient care practices. Providing culturally respectful distance education developed with and for CHA/Ps has the potential to be a cost-effective and sustainable pathway for disseminating much needed cancer information to reduce the burden of cancer among Alaska Native people.